Pregnant women's perspectives on intendedness of pregnancy

This study examined whether intendedness is a valued characteristic of pregnancy and what factors influence women to risk unintended (unwanted or mistimed) pregnancy. Study participants were 24-34 weeks pregnant, White or Black, aged 18-30, and receiving prenatal care from a publicly funded clinic in North Carolina. Information gathered from 8 focus group sessions (14-15 participants each) revealed that: 1) the concept of a planned pregnancy had no meaning to many of the women; 2) religious beliefs helped people accept unintended pregnancy; 3) planning for pregnancy is a stressful concept because of potential disappointment; 4) unprotected intercourse without pregnancy leads to assumptions of infertility; 5) attitudes of male partners, friends, and family members influence women to risk pregnancy; 6) women adapt to unintended pregnancy very readily; 7) there are no uniform situational risks for unintended pregnancy; and 8) unintended pregnancies are more advantageous than not for some women. These results question the assumption that intendedness of pregnancy is preferred among low-income women or that the pregnancies are "subintended." While interventions to increase intendedness focus on access to contraception, study participants reported no barriers to access as a reason for conception. Health educators should consider the ramifications of teaching that pregnancy can result from a single act of unprotected intercourse without also teaching that pregnancy can occur after several acts of unprotected intercourse. These findings suggest hypotheses that should be explored with further research.